Soal Pediatrik-3
Soal Pediatrik-3
Soal Pediatrik-3
2. A neonate born at term has a weight of 3400 g, a length of 50 cm and a head circumference of
30 cm. There are no abnormal neurological findings or syndromic features. Which one of the
following statements regarding the child's apparent microcephaly is true?
A. He has a secondary microcephaly
B. Microcephaly is due to the fact they are small for gestational age
C. Cranial ultrasound should be performed as first choice for microcephaly
D. Microcephaly is due to postnatal cause
E. Isolated microcephaly
3. Which one of the following is most likely based on the MRI shown?
4. Which one of the following is most likely based on the imaging shown below?
A. Atretic cephalocele
B. Encephalocele (meningoencephalocele)
C. Gliocele
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D. Meningocele
E. Meningoencephalocystocele
5. A 9-year-old child with VP shunt comes with headache and lethargy. CT head, blood,
unchanged and shunt series are normal. Risk of CSF infection secondary to percutaneous shunt
tap is which one of the following?
A. 0.0002%
B. 0.002%
C. 0.02%
D. 0.2%
E. 2%
6. Which one of the following statements regarding the management of pediatric hydrocephalus
is LEAST accurate?
A. Preoperative antibiotics reduces the risk of subsequent shunt infection in patients with
hydrocephalus
B. There is insufficient evidence to recommend the routine use of endoscopic guidance in
ventricular shunt placement
C. There is insufficient evidence to recommend occipital over frontal point of entry for
ventricular catheters
D. There is no clear advantage for one shunt valve type over another
E. Antibiotic-impregnated shunt tubing may be associated with a lower risk of shunt infection
compared to conventional silver-impregnated hardware
7. Intrathecal baclofen treatment in children with cerebral palsy is most commonly associated
with?
A. Increased generalized itching
B. Increased headache
C. Increased progression of scoliosis
D. Increased seizure frequency
E. Reduced physostigmine requirements
8. A child with cerebral palsy and a long-term intrathecal infusion pump presents with fever,
seizures, and rebound spasticity. This is most likely to be:
A. Acute dystonic reaction
B. Baclofen withdrawal
C. Malignant hyperthermia
D. Neuroleptic malignant syndrome
E. Status dystonicus
9. The most common location of atypical teratoid/ rhabdoid tumors during infancy and childhood
is in the:
A. Suprasellar region
B. Spinal cord
C. Posterior fossa
D. Frontal lobe
E. Temporal lobe
10. What fetal spinal anomaly commonly is associated with maternal hyperglycemia?
A. Dandy-Walker malformation
B. Holoprosencephaly
C. Sacral agenesis
D. Encephalocele
E. Chiari malformation
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